Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 10243
Country/Region: Nigeria
Year: 2012
Main Partner: Pro-Health International
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $98,423

The HCT Expansion Plan for Nasarawa and Plateau States (HEPNAP) project aims to expand the access of HCT services in the rural areas of Plateau and Nasarawa States. The HEPNAP project has activities in 5 Local Government Areas (LGAs) in Plateau State and 5 LGAs in Nasarawa State. PHI will provide HCT and result to 15,623 individuals in FY 2012. ,build the capacity of 15 HCWs in HCT and 15 HCWs on CHCT and provide technical assistance for the prison HCT program in 3 prisons in Plateau and Nasarawa States. HEPNAP will utilize diverse approaches to provide HCT to populations most in need of the service at the community level. Pro-Health will partner with CBOs to provide HCT services to the target population- MAPS. In integrated health facility HCT sites, Provider Initiated Testing and Counseling (PITC) opt-in and opt-out approach will be used to reach patients in medical wards, ANC, TB and STI clinics. HEPNAP will continue to provide Couples HIV Testing and Counseling (CHTC) services to couples to encourage partner reduction and fidelity in couples who learn they are concordant negative and also to reduce HIV transmission in sero-discordant couples. Pro-Health will build on already established linkages with other PEPFAR and multilateral programs and actively follow up referred to ensure that referral is completed. Pro-Health will continue to engage State and Local Governments and leverage resources form Government of Nigeria (GON) and other donors/stakeholders to continue the expansion of HCT access. MAIN ACTIVITIES Provision of HCT services through the integrated health facility and mobile HCT outlets.- On-site supervision and monitoring for Healthcare workers and HCT and CHCT training for HCWs.

Funding for Testing: HIV Testing and Counseling (HVCT): $98,423

In FY2012, Pro Health International (PHI) will utilize a variety of services delivery models to provide HTC services to 15,623 individuals. In integrated health facilities HTC, Provider Initiated Testing and Counseling (PITC) opt-in and opt-out approach will be used to reach 5,623 patients in medical wards, ANC, TB and STI clinics. The mobile HTC approach will be used to reach 6,000 clients who are among the vulnerable and Most-at-Risk Populations (MARPs) especially Female Sex Workers (FSWs) and their clients, Uniform Service Men, Transport Workers and the Prison Inmates. Community outreaches will be used to reach 4,000 clients living in communities where HTC services are either inaccessible or unavailable.

PHI will utilize the standardized national HTC data collection tools and adhere to the national testing algorithm. PHI will carryout the following activities in order to improve the efficiency and quality of HTC service delivery: monthly supervisory site visits to monitor adherence to quality standards and provide technical assistance to HCWs, monthly counselors meeting for experience sharing, client exit interviews to evaluate client satisfaction, and utilization of Dried Test tube Specimen (DTS) and proficiency testing for internal and external quality assurance respectively.

PHI will utilize the two-way referral approach to ensure that all HV positive clients are referred and linked to care and support services and that HIV negative clients are linked to prevention services. Referred HIV positive clients will be followed up by the HCWs, incentives (e.g transportation aid) for referral completion will be provided where necessary and linkages with programs providing care and support services will be strengthened to ensure referral is completed.

Monitoring and Evaluation activities will include bi-monthly site visits to monitor program implementation, routine data quality assessment, monthly data collation, data entry, data analysis and reporting for performance monitoring and decision making.PHI will also train 15 Health Care Workers (HCWs) on HTC and Couples HTC (CHTC) each and support the prison staff in 3 prisons in Plateau and Nasarawa States to implement the Prison HTC program.

Cross Cutting Budget Categories and Known Amounts Total: $8,000
Human Resources for Health $8,000
Key Issues Identified in Mechanism
Military Populations
Mobile Populations
Family Planning